Session 5: Payer Partnerships and Reimbursement

Medicare Advantage and commercial payers increasingly are investing in programs to address SDOH. A growing number of state Medicaid program are requiring Medicaid managed care organizations to partner with CBOs. Although such programs can complement existing health system initiatives, they can also create friction when, for example, health plan programs require different workflows that conflict with existing systems. During this session we will increase participants awareness of different payer programs and requirements and help them develop competencies for working with payers on SDOH initiatives.